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Medicine and Social JusticeEssays on the Distribution of Health Care$
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Rosamond Rhodes, Margaret Battin, and Anita Silvers

Print publication date: 2012

Print ISBN-13: 9780199744206

Published to Oxford Scholarship Online: May 2015

DOI: 10.1093/acprof:osobl/9780199744206.001.0001

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Justice of and Within Health Care Finance

Justice of and Within Health Care Finance

(p.121) 10 Justice of and Within Health Care Finance
Medicine and Social Justice

Stephen R. Latham

Oxford University Press

This chapter focuses on the United States’ approach to health care distribution, with particular emphasis on the reform measures recently passed by Congress and signed into law by President Barack Obama. These health care reform measures are being attacked both in the courts and by some politicians. The chapter first considers arguments in favor of social subsidization of health care based on the work of John Rawls, as well as libertarian and conservative objections to the Rawlsian arguments. It then reviews other, non-Rawlsian grounds for the justice of subsidized health care finance schemes. It also examines two debates that apply to every sort of national health-insurance scheme: the question of the treatment of illegal immigrants within national plans, and the question of the proper approach to health care rationing for cost control; and the debate about the justice of the so-called individual mandate, which forces citizens to purchase health insurance.

Keywords:   health care, health care reform, United States, social subsidization, health care finance, illegal immigrants, health care rationing, justice, individual mandate, health insurance

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